Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,425.51 / $5,087.00 / $8,294.00	Facility		$1,425.51	$5,087.00	$8,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,150.48 / $1,425.51 / $1,711.86	Professional		$1,150.48	$1,425.51	$1,711.86
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,153.00 / $7,363.00 / $9,410.00	Facility		$6,153.00	$7,363.00	$9,410.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,154.61 / $1,493.79 / $2,469.67	Professional		$1,154.61	$1,493.79	$2,469.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,383.65 / $1,494.34 / $15,406.00	Professional		$1,383.65	$1,494.34	$15,406.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $640.00 / $640.00 / $1,432.52	Facility		$640.00	$640.00	$1,432.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,194.89 / $1,598.67 / $2,846.21	Professional		$1,194.89	$1,598.67	$2,846.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,201.24 / $1,537.59 / $1,806.23	Professional		$1,201.24	$1,537.59	$1,806.23
Medcost Facility/Professional Facility Modifier Low / Median / High Price $1,293.28 / $1,664.60 / $2,366.69	Facility		$1,293.28	$1,664.60	$2,366.69
Medcost Facility/Professional Professional Modifier Low / Median / High Price $1,607.00 / $1,820.20 / $2,504.00	Professional		$1,607.00	$1,820.20	$2,504.00
Sentara Facility/Professional Facility Modifier Low / Median / High Price $1,247.88 / $1,652.53 / $5,420.41	Facility		$1,247.88	$1,652.53	$5,420.41
Sentara Facility/Professional Professional Modifier Low / Median / High Price $1,247.88 / $1,652.53 / $5,420.41	Professional		$1,247.88	$1,652.53	$5,420.41
United Facility/Professional Facility Modifier Low / Median / High Price $6,423.00 / $11,475.00 / $21,639.00	Facility		$6,423.00	$11,475.00	$21,639.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.46 / $1,584.24 / $2,524.44	Professional		$979.46	$1,584.24	$2,524.44